SHANNON LEE MOORE (NPI# 1417395385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417395385 |
Entity Type | Individual |
Full Name | SHANNON LEE MOORE |
Other Name | SHANNON LEE MURCHISON |
Credential | ARNP |
Practice Address |
11102 Sunrise Blvd E Ste #110 Puyallup WA 98374-8846 |
Practice Telephone | 2536977350 |
Mailing Telephone | 2536977350 |
Enumeration Date | 2013-06-12 |
Last Update Date | 2013-06-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP60386228 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP60386228 | WA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
AP60386228 | WA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043825565 | Shannon Roberta Moore | In Home Supportive Care | 5686 Broadview Rd Apt 2520, Parma, OH 44134-1647 | 2020-09-11 |
1033764055 | Shannon Moore | Physical Therapist | 235 Open Sky Way, Kila, MT 59920-7700 | 2019-08-06 |
1770006660 | Shannon Moore | Optometrist | 340 Wood Rd Ste 2020, Braintree, MA 02184-2404 | 2017-07-21 |
1316327851 | Shannon Moore | Technician, Other | 24837 Princeton St, Dearborn, MI 48124-4457 | 2015-05-30 |
1659713071 | Shannon Lori Moore | Dietitian, Registered | 1114 Thomasville Rd Ste G, Tallahassee, FL 32303-6273 | 2013-07-26 |
1326388893 | Shannon Michelle Moore | Developmental Therapist | 340 Ralley Rd, Keavy, KY 40737-2729 | 2013-02-21 |
1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
1669767208 | Shannon M Moore | Pharmacist | 80 Baker St, Richmond, VT 05477-7750 | 2011-06-11 |
1154636611 | Shannon Monique Moore | Psychologist | 1675 Lakeland Dr Ste 304, Jackson, MS 39216 | 2010-08-09 |
1689630246 | Shannon Jessica Moore | Optometrist | 528 Waterloo Rd, Warrenton, VA 20186-3011 | 2006-04-24 |
Street Address |
11102 SUNRISE BLVD E STE #110 |
City | PUYALLUP |
State | WA |
Zip Code | 98374-8846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285612879 | Ted Coleman | Emergency Medicine | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374 | 2006-01-04 |
1669906376 | James Luzzo | Nurse Practitioner | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 | 2017-04-19 |
1558716043 | Emily Winn | Nurse Practitioner | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 | 2016-05-03 |
1033587944 | Rn Sunrise Operations LLC | Dietitian, Registered | 11102 Sunrise Blvd E, Suite 102, Puyallup, WA 98374-8846 | 2015-09-09 |
1801293949 | Devyn Catherine Cameron | Nurse Practitioner | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 | 2014-12-03 |
1003218611 | Scott Nelson | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2014-09-25 |
1548685902 | Robert Rex Williams | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2014-02-21 |
1477982700 | Melissa Bronoske | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2013-11-07 |
1902113038 | Teresa Irene Garrison | Nurse Practitioner | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 | 2010-09-10 |
1710219621 | James H.n. Mcpherson | Physician Assistant | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374 | 2010-02-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
Find all providers in zip 98374 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578649679 | Cydne J Marckmann | Nurse Practitioner | 3908 10th St Se, Puyallup, WA 98374-2188 | 2006-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871190835 | Women's Mobile Medical. LLC | Nurse Practitioner | 701 E 49th St, Tacoma, WA 98404-2025 | 2020-10-02 |
1992323018 | Megan Louise Bedker | Nurse Practitioner | 3003 80th Ave Se, Mercer Island, WA 98040-2915 | 2020-07-07 |
1114557196 | Scarlett Owen Duncan | Nurse Practitioner | 27121 174th Pl Se Ste 201, Covington, WA 98042-4939 | 2020-01-18 |
1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
1174008106 | Nicole Ann Bazzetta | Nurse Practitioner | 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 | 2018-09-25 |
1174000178 | Emily K Ernst | Nurse Practitioner | 4525 S 19th St, Tacoma, WA 98405-1106 | 2018-07-23 |
1770079493 | Erica Lauren Nunez | Nurse Practitioner | 5020 Roosevelt Way Ne Ste 1, Seattle, WA 98105-3644 | 2018-07-05 |
1659881001 | Kathryn Conkling | Nurse Practitioner | 10210 State Ave, Marysville, WA 98271-7214 | 2017-10-11 |
1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SHANNON LEE MOORE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.